So I'm a singer in a church choir. I've noticed that, since the GERD, I've been having troubles while singing. It's not the vocal cords, but I get the pain in my chest and arm like I do during normal heartburn. Anyone ever experience the pain while singing? Any ideas on what to do about it? I guess it might be the breathing from the diaphragm making more pressure on the stomach maybe?

I have symptoms of both Gerd and lpr. I lost my singing voice completely last fall, but am back in the choir now. I don't experience heartburn, don't share your experience. But my stomach is always tender, so singing is less comfortable than it was before this all hit.

I think you are right about your breathing causing your pain. Trouble is that is the correct way to sing without straining your vocal chords. I had a few instances of similar pain while singing, but since my Nissens I have been able to sing without any problems. Well I did have some issues for a short time after they repaired my hole in my esophagus, but I think that was from the esophageal stent I had in place for over a month.

I was a singer, too. I can't recall -- have you had any procedures done? I have never experienced the arm and chest pains you describe. It sounds like there's a possibility you're somehow stimulating the vagus nerve with the deep breathing and diaphragmatic pressure. If you've had a procedure done, that would further indicate this effect.

If you haven't had a procedure, then that makes it a bit mysterious, unless the vagus nerve is responding to heartburn irritation as a result of its proximity.

I lost my singing voice in 2008, regained it after nearly a year on Zantac, then my LPR symptoms increased (and tolerance reached for H2 blockers...intolerant of PPIs) and my voice has been gone for over a year now...